Sr. Associate, Quality Operations

Cityblock Health; United States; On-site; USD 64,000 - 82,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Retirement benefits

Equity program

Paid time off

Job summary

Cityblock Health is seeking a Sr. Associate, Quality Operations to drive quality performance across markets, maintain payor partnerships, and support quality initiatives with centralized, standardized assistance to clinical teams.

Collaborating with Product, Data Platform, and market teams, you will analyze quality metrics, ensure adherence to HEDIS standards, and deliver insights to close performance gaps across the organization.

Qualifications

• Bachelor's degree or higher required.
• 3+ years in HEDIS/Stars or related quality improvement.
• Experience with Medicare/Medicaid lines of business and payor partnerships.
• CPHQ or equivalent certification is a plus.

Responsibilities

• Serve as Quality SME for HEDIS/Stars specifications.
• Lead payor partner quality meetings to discuss performance and priorities.
• Coordinate responses to audits and quality inquiries.
• Oversee vendor performance and contractual obligations.
• Collaborate with Product and Data Platform to ensure efficient operations.
• Analyze quality metrics and support market performance goals.
• Provide centralized quality support to markets and clinical teams.
• Develop and roll out quality initiatives and improvements.

Skills

HEDIS/Stars experience

Vendor management

Excel/SQL

Education

Bachelor's degree

Tools

Excel

SQL

Job description

Job Description: About the role In collaboration with the Manager, the Sr. Associate, Quality Operations acts cross-functionally to drive Cityblock’s quality performance in alignment with organizational objectives and contractual standards. The role advances HEDIS/Stars operational excellence by maintaining quality payor partnerships, managing vendor relations, supporting key quality initiatives, and delivering centralized, standardized support to local market and clinical teams.

Responsibilities

• Serve as Quality SME for HEDIS/Stars specifications
• Payor Relationship Management Lead quality meetings for all payor partners to discuss Cityblock’s quality performance and shared priorities with plan partner
• Support regular check-ins, quality initiatives, quality data sharing, and other ad hoc requests
• Coordinate responses to payor requests, audits, and quality-related inquiries
• Possess a deep understanding of contractual obligations Vendor Operations
• Act as liaison for external vendors to support quality initiatives
• Oversee vendor performance, ensuring timely deliverables and adherence to contractual expectations
• Collaborate with Product, Data Platform, and other internal teams to ensure efficient operations
• Provide centralized quality support to markets to ensure cross-organizational alignment and supporting coordination between quality, markets, and clinical teams
• Analyze quality metrics and collaborate with markets as needed to achieve performance goals
• Serve as a resource for quality support throughout all levels of the organization, e.g. replying to market requests, monitoring questions and feedback received in the quality-support slack channel, etc.
• Work closely with market teams to ensure provider and care team documentation meets HEDIS standards and supports effective gap closure.
• Support roll-out of quality strategic initiatives
• Develop and support new processes and workflows to address Quality needs, and continuously monitor performance
• Pilot new market-level initiatives and distill learnings to apply best practices towards national quality operations
• Generate actionable insights and performance reporting to support market leaders in identifying, implementing, and tracking quality improvement initiatives.

Requirements

• Bachelor's degree
• 3+ years of experience in HEDIS/Stars; broader experience in quality improvement, quality management, and/or population health management
• 3+ years of experience in Medicare, ACA, Marketplace, and/or Medicaid lines of business
• Experience managing external partner relationships (health plans and/or vendors), including contractual/SLA oversight, combined with the ability to analyze quality data and translate it into actionable reporting (Excel/SQL or similar)
• Experience designing, piloting, or improving operational workflows in a healthcare quality setting; CPHQ or equivalent certification a plus

Benefits and Compensation

• This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave.
• The expected salary range for this position is: $64,000.00 - $82,000.00 Annual
• We take into account an individual’s qualifications, skillset, and experience in determining final salary.

Company Culture & Values

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs along with some of the top healthcare investors in the country. Our mission is to improve the health of underserved communities.

Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings. In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve.

Over the next year, we’ll grow quickly to bring better care to many more members and their communities. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community.

Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Our Values: Aim for Understanding, Be All In, Bring Your Whole Self, Lean Into Discomfort, Put Members First.

About our Team: We employ a field-based, home-based care model and are committed to meeting members where they are--in their homes, in their community, and in our Hubs. We will go above and beyond to connect with Cityblock members in a non-judgmental, respectful and empathic manner, to meet their needs, and to provide feedback to the system as a whole as we strive to do better every day.